February 2026 a signaled reversal
MEDICAL EXPERTISE & EXPERIENCE Highly trained medical professional with over 18 years of clinical experience
Many products sold for research use only may be impure or mislabeled
Vaccine details: manufacturer name, lot number, expiration date, and dosage amount Route of administration: intramuscular, subcutaneous, or intradermal Administration site: exact anatomical location (e.g., left deltoid, right anterolateral thigh) Date and provider: date of administration matching the claim, with signature or electronic authentication of the administering provider Patient consent: documented consent or refusal notation prior to administration ICD-10 diagnosis code: Z23 (Encounter for Immunization) linked in the record and on the claim Observation period: note any adverse reactions observed or confirm none occurred The lot number isn't optional and isn't a billing formality
We noted that the nominator has listed PE inputs that are also included in the inputs for CPT codes 95115 and 95117 and these same inputs may overlap with inputs included in CPT codes 95145 to 95149
"I don't know how they're going to put the genie back in the bottle," Lee told AFP
